Kentucky Dressage Association Inc 501 (c) 3 2019 Membership Application
December 1, 2018 to November 30th, 2019
USDF Number if Known
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First Name *
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Last Name *
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Street *
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City *
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State *
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Zip *
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Email *
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Phone *
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Date of Birth *
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DD
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YYYY
New Member or Renewing *
Farm/Business Name
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Membership Status *
Were you referred by someone?
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Horse 1 Name
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Breed
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Rider
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Owner
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Additional Horses Can be added after Additional Family Members Information Section
Additional Family Members Information
Additional members cost $12 each, please make sure you purchased additional memberships via KDA's website or your information will not be saved.
1st Additional Family Member Name
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1st Additional Family Member Date of Birth
MM
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DD
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YYYY
1st Additional Family Member USDF# if known
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1st Ad Family Member Phone
If different
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1st Ad. Family Member Email
if different
Your answer
1st Ad. Family Member Rider Status
2nd Additional Family Member Name
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2nd Additional Family Member Date of Birth
MM
/
DD
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YYYY
2nd Additional Family Member USDF#
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2nd Additional Family Member Email
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2nd Additional Family Member Phone
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2nd Additional Family Member Rider Status
If you purchased more than 2 additional family memberships or horses, please email their info to Kelly Azar at Kelzar@comcast.net
Each additional competing horse cost $10. Also, $10 for each additional horse per each additional family member.
Please ensure you purchase an additional horse registration for each additional horse you register with KDA. The $55 Adult membership covers one rider and one horse. You can purchase additional family memberships for $12 each and additional horses' for $10 using KDA's website.
1st Additional Horse Name
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1st Additional Horse Breed
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1st Additional Horse Rider
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1st Additional Horse Owner
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2nd Additional Horse Name
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2nd Additional Horse Breed
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2nd Additional Horse Rider
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2nd Additional Horse Owner
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3rd Additional Horse Name
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3rd Additional Horse Breed
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3rd Additional Horse Rider
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3rd Additional Horse Owner
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